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Golden Jubilee Hostel

This document is a hostel leave application form for Golden Jubilee Hostel at G.B.P.U. Agri. & Tech. in Pantnagar. The form requires the student to provide their name, ID number, hostel room number, college, dates for which leave is required, reason for leave, destination address, and dates and times of leaving and returning to the hostel. Space is provided for signatures from the student's advisor/parent, the student, and the hostel warden to approve or deny the application.

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manish
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93 views1 page

Golden Jubilee Hostel

This document is a hostel leave application form for Golden Jubilee Hostel at G.B.P.U. Agri. & Tech. in Pantnagar. The form requires the student to provide their name, ID number, hostel room number, college, dates for which leave is required, reason for leave, destination address, and dates and times of leaving and returning to the hostel. Space is provided for signatures from the student's advisor/parent, the student, and the hostel warden to approve or deny the application.

Uploaded by

manish
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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GOLDEN JUBILEE HOSTEL

G.B.P.U. AGRI. & TECH., PANTNAGAR

1. Name of the Student____________________________ I.D. ______________________


2. Hostel room no.______________ College _____________________________________
3. Dates on which leave is required___________________________________________
4. Reason for leave___________________________________________________________
5. Place for which you leave (full address) _____________________________________
______________________________________________________________________________
6. Date and time of leaving hostel_____________________________________________
7. Date and time of returning hostel__________________________________________

___________________________ __________________________
Signature of Advisor/Parent Signature of student
Permitted/Not permitted

_________________________
Signature of Warden

______________________________________________________________________________

GOLDEN JUBILEE HOSTEL


G.B.P.U. AGRI. & TECH., PANTNAGAR

1. Name of the Student_______________________ I.D.____________________________


2. Hostel room no. _________________ College __________________________________
3. Date and time of leaving hostel_____________________________________________
4. Date and time of returning hostel__________________________________________

_________________________
Signature of Warden

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